Research in Community and Public Health Nursing

Original Articles

[Korean] Comparison of Risk Factors and 30 day-in Hospital mortality of Community-Acquired Pneumonia with Elderly Patients and Adult Patients: Using Secondary Data from the Korea Centers for Disease Control and Prevention: Jinseon Heo, Youngsuk Kim; Res Community Public Health Nurs. 2025;36(1):112-121. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00815

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Abstract PDF: Purpose
This study examines the factors influencing 30-day in-hospital mortality in elderly patients with community-acquired pneumonia (CAP) and compares them to those in adult patients.
Methods
This secondary analysis used discharge data from the Korea Disease Control and Prevention Agency, covering the period from January 1, 2020, to December 31, 2022. Statistical methods included χ² tests, t-tests, the Cox proportional hazards model for calculating adjusted hazard ratios (HR), and Kaplan-Meier analysis. Results: The study found that older age (Adjusted HR=2.40, 95% CI=2.01-2.85, p<.001) and Emergency Room admissions (Adjusted HR=2.24, 95% CI=1.94-2.59, p<.001) are significantly associated with increased mortality in elderly patients. Other contributing factors include residency area (Adjusted HR=1.73, 95% CI=1.04-2.87, p=.035), hospital setting (Adjusted HR=1.34, 95% CI=1.05-1.70, p=.017), and the number of hospital beds (Adjusted HR=1.27, 95% CI=1.11-1.46, p=.001).
Conclusion
These findings underscore the importance of improving community health screenings and developing respiratory infection prevention programs for elderly patients, especially those in high-risk areas.

[English] The Evaluation of Feasibility and Predictive Validity of Comprehensive Korean Frailty Instrument: Using the 2008 and 2011 Living Profiles of Older People Survey in Korea: Eun Mi Oh, Gwi Ryung Son Hong; J Korean Acad Community Health Nurs. 2017;28(2):206-215. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.206

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4 Citations

PURPOSE
This study aimed to verify the predictive validity of Comprehensive Korean Frailty Instrument (CKFI) among older adults.
METHODS
A secondary analysis of data from a prospective cohort study was conducted. Frailty was determined in older adults (N=9,188) according to the data in 2008 and the effects of frailty on adverse outcomes (such as institutionalization and death) were evaluated according to the data in 2011. The Cardiovascular Health Study (CHS) index was used to compare with the predictive validity of CKFI.
RESULTS
The prevalence of frailty was 26.3%. With the CKFI, the frail group had a higher risk of negative health outcomes compared to the robust and pre-frail groups after three years. The two of the highest risks identified using the CKFI and CHS index were institutionalization (5.522 times higher) and mortality (3.210 times higher). For both instruments, the survival analysis revealed that the risk of death increased as the degree of frailty increased.
CONCLUSION
The CKFI consisting of self-report items and multidimensional aspects of frailty can be used as a simple instrument for assessing the frailty of older adults residing in a local community in Korea.

Citations

Citations to this article as recorded by

Impact of Modifiable Factors Associated with Physical Frailty and Cognitive Impairment Trajectory of Older Adults: Using the Korean Longitudinal Study of Aging 2006–2018
Sumi Lee
Healthcare.2025; 13(3): 315. CrossRef
Frailty assessment using routine clinical data: An integrative review
Arum Lim, JiYeon Choi, Hyunju Ji, Hyangkyu Lee
Archives of Gerontology and Geriatrics.2022; 99: 104612. CrossRef
Impact of Frailty, Depression, and Loneliness on Ego-Integrity in Community-Dwelling Elderly
Seon Ju Song, Sung Hee Ko, Ji Young Kim, Hyun Kyung Kim
STRESS.2022; 30(3): 139. CrossRef
Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
Korean Journal of Health Education and Promotion.2018; 35(2): 89. CrossRef

[English] Characteristics and Mortality Risk Factors in Geriatric Hospital Patients visiting One Region-wide Emergency Department: Kyoung Wan Kim, Soong Nang Jang; J Korean Acad Community Health Nurs. 2016;27(4):327-336. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.327

3,336 View
14 Download
6 Citations

Abstract PDF

PURPOSE
This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information.
METHODS
A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015.
RESULTS
There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter.
CONCLUSION
The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.

Citations

Citations to this article as recorded by

Mortality Outcomes and Contributing Risk Factors in Patients with Hospital-Associated Disability
Soo-Jeong Jo, So-Hee Lee, Hyo-Jin Min, Hee-Ji Kim, Hyun-Ho Kong
Journal of Clinical Medicine.2024; 13(16): 4798. CrossRef
Factors Associated with Acute Hospitalizations and Mortality of Older Adults in Long-Term Care Facilities and Long-Term Care Hospitals: A Population-Based, Pubic-Insurance Big-Data Analysis
Seyune Lee, Nan-He Yoon, Jung-Yeon Choi, Kwang-Il Kim, Hongsoo Kim
Journal of Korean Gerontological Nursing.2022; 24(2): 162. CrossRef
Development and Application of a Surveillance Method for Healthcare-Associated Infections in Long-Term Care Hospitals in Korea
Sun Young Jeong, JeongHwa Choi, Jae Yeun Kim, Hyuk Ga
Annals of Geriatric Medicine and Research.2020; 24(4): 274. CrossRef
Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals
Chun Yee Lee, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 199. CrossRef
Factors of Revisit of Older Adult that Emergency Departments
Juhee Hwang, Sungran Kim, Myounghee Won, Dokyung Hu, Juhyun Ahn, Dong-Soo Shin
Journal of Digital Contents Society.2019; 20(12): 2555. CrossRef
Clinical outcomes and prognostic factors in patients directly transferred to the intensive care unit from long-term care beds in institutions and hospitals: a retrospective clinical study
Su Hwan Lee, Soo Jung Kim, Yoon Hee Choi, Jin Hwa Lee, Jung Hyun Chang, Yon Ju Ryu
BMC Geriatrics.2018;[Epub] CrossRef

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